Midline anterior approach from the right side to the lumbar spine for interbody fusion and total disc replacement: a new mobilization technique of the vena cava.

Study Design: Prospective study.

Objective: To describe a midline anterior approach to the lumbar spine from the right side, below the aortic bifurcation to L5-S1, and by mobilizing the vena cava from right to left between L2 and L5. Feasibility and complication rate related to the approach have been studied.